dc.contributor.author | Aliyev, Vusal | |
dc.contributor.author | Piozzi, Guglielmo Niccolo | |
dc.contributor.author | Bulut, Alisina | |
dc.contributor.author | Guven, Koray | |
dc.contributor.author | Bakir, Baris | |
dc.contributor.author | Saglam, Sezer | |
dc.contributor.author | Asoglu, Oktar | |
dc.date.accessioned | 2022-11-04T19:55:27Z | |
dc.date.available | 2022-11-04T19:55:27Z | |
dc.date.issued | 2022 | |
dc.identifier.issn | 2038-131X | |
dc.identifier.issn | 2038-3312 | |
dc.identifier.uri | https://doi.org/10.1007/s13304-022-01396-1 | |
dc.identifier.uri | http://hdl.handle.net/11446/4530 | |
dc.description.abstract | Aim of this study was to compare operative, long-term oncological and functional outcomes of laparoscopic (LISR) and robotic (RISR) intersphincteric resection in low-lying rectal cancer. Retrospective analysis of prospectively maintained database was performed. 115 cases (LISR, n = 55; RISR, n = 60) were performed by a single surgeon (January 2011-January 2020). Clinical characteristics did not differ between the groups. Operating time was longer in RISR (160.0 +/- 45.7 vs. 205.0 +/- 36.5 min, p = 0.035). There was no conversion in RISR, whereas in LISR, two patients (3.6%) converted to open surgery. Complete mesorectum was 61.8% and 83.3% for LISR and RISR (p = 0.046), respectively. Circumferential radial margin involvement was 10.9% and 8.3% in LISR and RISR (p = 0.365), respectively. Median follow-up was 82.8 (30-138) months for LISR and 83.6 (30-138) months for RISR. Three-, five-, and seven-year overall survival rates (OS) for LISR and RISR were: 88.6%, 80.4%, 73.4% and 90.4%, 86.3%, 76.9%, respectively. Three-, five-, and seven-year disease-free survival (DFS) rates for LISR and RISR were 80.5%, 75.2%, 70.4% and 84.4%, 81.4%, 79.8% (p = 0.328), respectively. Three-, five-, and seven-year local recurrence-free survival rates in LISR and RISR were: 96.1%, 92.6%, 88.4% and 96.7%, 94.2%, 90.4% (p = 0.573), respectively. Mean Wexner score for LISR (n = 32) and RISR (n = 40) was: 10.5 +/- 4.7 and 9.8 +/- 4.2 (p = 0.782), respectively. Colostomy-free survival in LISR and RISR was: 3 years 94.5%/95.2%, 5 years 89.1%/91.7%, and 7 years 83.6%/85.0%. RISR is associated with better mesorectal integrity, no conversion, and lower postoperative complication rate. RISR has longer operation time. Oncological and anorectal functional outcomes are similar in both groups. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Springer-Verlag Italia Srl | en_US |
dc.relation.ispartof | Updates In Surgery | en_US |
dc.identifier.doi | 10.1007/s13304-022-01396-1 | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Rectal cancer | en_US |
dc.subject | Intersphincteric resection | en_US |
dc.subject | Laparoscopic approach | en_US |
dc.subject | Robotic approach | en_US |
dc.subject | Functional outcomes | en_US |
dc.subject | Oncological outcomes | en_US |
dc.subject | Local Recurrence | en_US |
dc.subject | Coloanal Anastomosis | en_US |
dc.subject | Open Surgery | en_US |
dc.subject | Multicenter | en_US |
dc.subject | Trial | en_US |
dc.subject | End | en_US |
dc.title | Robotic vs. laparoscopic intersphincteric resection for low rectal cancer: a case matched study reporting a median of 7-year long-term oncological and functional outcomes | en_US |
dc.type | article | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.department-temp | [Aliyev, Vusal; Bulut, Alisina; Asoglu, Oktar] Bogazici Acad Clin Sci, Gen Surg, Istanbul, Turkey; [Piozzi, Guglielmo Niccolo] Korea Univ, Coll Med, Dept Surg, Div Colon & Rectal Surg,Anam Hosp, Seoul, South Korea; [Guven, Koray] Acibadem Mehmet Ali Aydinlar Univ, Dept Radiol, Sch Med, Istanbul, Turkey; [Bakir, Baris] Istanbul Univ, Dept Radiol, Fac Med, Istanbul, Turkey; [Saglam, Sezer] Demiroglu Bilim Univ, Dept Med Oncol, Istanbul, Turkey; [Goksel, Suha] Maslak Acibadem Hosp, Dept Pathol, Istanbul, Turkey | en_US |
dc.identifier.pmid | 36198884 | en_US |
dc.identifier.scopus | 2-s2.0-85139521203 | en_US |
dc.identifier.wos | WOS:000864042100001 | en_US |
dc.authorscopusid | 57209975273 | |
dc.authorscopusid | 56638448900 | |
dc.authorscopusid | 57211859804 | |
dc.authorscopusid | 15845884200 | |
dc.authorscopusid | 9039596900 | |
dc.authorscopusid | 23478299500 | |
dc.authorscopusid | 7004028911 | |